Creative Healing Counseling Services, Llc | |
530 Highway 145 N Ste A Aberdeen MS 39730-2156 | |
(662) 319-1876 | |
(662) 369-1739 |
Full Name | Creative Healing Counseling Services, Llc |
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Speciality | Counselor |
Location | 530 Highway 145 N Ste A, Aberdeen, Mississippi |
Authorized Official Name and Position | Sherita Dobbins (OWNER) |
Authorized Official Contact | 6623191876 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Creative Healing Counseling Services, Llc 530 Highway 145 N Ste A Aberdeen MS 39730-2156 Ph: (662) 319-1876 | Creative Healing Counseling Services, Llc 530 Highway 145 N Ste A Aberdeen MS 39730-2156 Ph: (662) 319-1876 |
NPI Number | 1487394763 |
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Provider Enumeration Date | 04/01/2022 |
Last Update Date | 04/08/2022 |
Certification Date | 04/08/2022 |
Medicare PECOS PAC ID | 2961868062 |
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Medicare Enrollment ID | O20230516001157 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487394763 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Sherita Dobbins |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053663542 PECOS PAC ID: 0840664546 Enrollment ID: I20230321000139 |
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